Register our company for National Walking Day and receive a free, downloadable tool kit.

On National Walking Day, Wednesday, April 3, 2013, companies, organizations and individuals across America are going to wear sneakers to work, take 30 minutes to walk and pledge to live heart-healthy lives. Let this be your first move towards adopting a heart-healthy work style.

Celebrating National Walking Day is free and easy. We provide you with tips and materials to make the day a success. Just fill out the form below. You’ll automatically receive the updated National Walking Day toolkit as a link in your confirmation email. So lace up your sneakers and make a pledge to live a longer, healthier life.

National Walking Day

Email Address

First Name

Last Name

Title

Company Name

Company Address

Company City

Company State

Company Zip

Company Info:

Number of Employees

Number of Locations

Location of Headquarters

Does your company have a matching gift program?

Has your company ever participated in a Heart Walk?

Has your company ever participated in a Wear Red Day Event?

I would like more information on the following:

Select all that apply.

Workplace Events and Programs

Education and Awareness Program: Walking Clubs

Education and Awareness Program: CPR and AED Classes

Go Red For Women (educates women about heart disease - their No. 1 killer) and Power to End Stroke (empowers individuals to learn about stroke)

Sponsorship Opportunities

Terms and Conditions

I acknowledge that I am enrolling in a program for adults created by the American Heart Association, Inc. ("AHA"). I am engaging in the AHA Program voluntarily and for my own personal reasons. I understand that it is my responsibility to consult with a physician regarding heart disease. The AHA programs I am enrolling in may advocate or involve physical activity such as exercise. Such physical activity is a potentially hazardous activity that may involve certain risks. By participating in AHA programs, I assume all associated risks. It is my responsibility to consult with a physician to determine my ability to engage in any and all activities associated with the AHA Programs. It is also my responsibility to use equipment, clothing, and technique that are appropriate for the activities related to the AHA Programs. I am solely responsible for my own safety. I agree to not sue, and to release, indemnify and hold harmless, the AHA, its affiliates, officers, directors, volunteers and employees, and all sponsors of the AHA programs sponsors and the agents of such sponsors, from any and all liability, claims, demands, and causes of action whatsoever, arising out of my participation in the AHA programs, whether arising from the negligence of any of the above parties or from any other cause. The foregoing release, indemnification, and hold harmless shall be as broad and inclusive as is permitted by the state in which I live. I consent to the aggregation of my non-identifying information with like information from other people, and I consent to the release of such aggregated information to other parties, including but not limited to the sponsors of AHA. I authorize the AHA to mail me information about the AHA Programs or about other AHA offerings. I acknowledge and agree that the AHA may discontinue certain AHA programs without notice to me and that I shall have no continuing rights in the AHA programs upon such termination. I assert that I am the person about whom the information I am providing relates. If any portion of this agreement is held invalid, the balance shall continue in full force and effect. If you do not wish to receive free educational materials from this program, you may delete your name and e-mail from our mailing list by e-mailing Start@heart.org. We apologize for any inconvenience if you are sent an e-mail in error.

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